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Individual

DR. CHAMBLEE BENTLEY WITHERSPOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1217 LAYMAN DR, JONESBORO, AR 72404-9143
(870) 636-7571
(870) 934-1270
Mailing address
1217 LAYMAN DR, JONESBORO, AR 72404-9143
(870) 636-7571
(870) 934-1270

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2766
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154576721
AR
Enumeration date
11/17/2006
Last updated
12/30/2016
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